| NPI | 1053622365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 258879) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A115752) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2021-02-04 |